<!DOCTYPE html>
<html lang="en">
<head>
    <meta charset="UTF-8">
    <meta http-equiv="X-UA-Compatible" content="IE=edge">
    <meta name="viewport" content="width=device-width, initial-scale=1.0">
    <title>Document</title>
    <style>
        * {
            padding: 0;
            margin: 0;
        }
        table {
            margin: 200px auto;
            border: 2px solid palevioletred;
        }
       
    </style>
</head>
<body>
    <table border="2" width="500px" height="300px" cellspacing="0">
        <tr align="center">
            <td width="100px">会员姓名</td>
            <td></td>
            <td width="100px">出生日期</td>
            <td></td>
        </tr>
        <tr align="center">
            <td>身份证号</td>
            <td colspan="3"></td>
            
        </tr>
        <tr align="center">
            <td>通信地址</td>
            <td colspan="3"></td>
            
        </tr>
        <tr align="center">
            <td>联系电话</td>
            <td colspan="3"></td>
            
        </tr>
        <tr align="center">
            <td>会员卡号</td>
            <td colspan="3"></td>
            
        </tr>
    </table>
</body>
</html>